The album helped renew interest in Pink's music after a three-year break which followed the poor commercial and critical performances of her previous album, Try This. Originally titled Long Way to Happy, a song on the album, and scheduled for release on September 20, 2005, the album was delayed several months. Its title was changed to I'm Not Dead, also a song on the album, in order to match the comeback nature of the album, and its heavy tone in terms of lyrical content, strong language and edgy sound. I'm Not Dead is primarily a pop rock album, but includes country, alternative rock and R&B influences.

The release of I'm Not Dead was preceded by its controversial lead single, "Stupid Girls", a top 20 hit on the U.S. Billboard Hot 100 the video of which earned Pink an MTV Video Music Award. The single "U + Ur Hand," reached the top ten and became a significant chart success, reviving the album's sales fortunes in the U.S., leading to a platinum certification from the RIAA for sales of one million.Who Knew subsequently was re-released to critical and commercial acclaim. The two songs are also Pink's first two singles to achieve Platinum certifications. Subsequent regional singles include "Nobody Knows", "Leave Me Alone (I'm Lonely)" and "Dear Mr. President". A Platinum Edition of the album was issued with bonus tracks, remixes and a DVD.

Not Dead Yet

Not Dead Yet (NDY) is a United Statesdisability rights group that opposes assisted suicide and euthanasia for people with disabilities. Diane Coleman, JD, is the founder and president of this national group. Stephen Drake, a research analyst with NDY, is one of the group's chief spokespersons and contacts for press releases.

The group was founded on April 27, 1996. Its name comes from the film Monty Python and the Holy Grail, in which plague victims are thrown into a cart and hauled off to be buried. A man being given up as a corpse by his family protests that he is "not dead yet!"

In 2004 NDY protested the removal of Terri Schiavo's feeding tube. They also protested the movie Million Dollar Baby, in which the injection of an overdose of epinephrine to euthanize a suicidal quadriplegic woman is depicted as a rational and compassionate act. The group has been highly critical of utilitarian philosophers such as Peter Singer of Princeton University. Coleman has called Professor Singer "the most dangerous man on earth" and accused him of advocating genocide. In June 2015 NDY organized protests against Singer's position that disabled newborn babies be killed. The protesters called for Princeton University to dismiss Singer.

I'm Not Dead Yet

Well she said she’s leaving me said she’s been cutting throatsAnd will find which ones are clean will see who bleeds the mostWell preacher just wipes his face ripping out bible pageWell I am the one who’s whole, I am the one they’ll saveOh, I’m not dead yetYou dont KI keep my hands cleanI’m not dead yetWell god bless the weaker ones who search for a safer placeWell the streets they were lined with ghosts and they were all there for meWell if everyone’s afraid to die well I be the first to leaveHold on to thoughts of hope and wait for them angels to singWell I will lie with the snakes and wait for them to come for meOh, I’m not dead yetWell I keep my hands cleanI’m not dead yetWell god only speaks to meI’m not dead yetIf I got god then I got no problemsBut I am god so I got no problemsShe said I’m goneI lost my homeSo far we’re fineI don’t mind dyingDear god, please send meThis church it’s emptyIf I got god then I got no problems

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